高盛：美洲医疗健康_医疗科技与医疗信息化_投身增长与再投资主题

Investment Rating - The report maintains a positive outlook on the MedTech sector, reiterating Buy ratings on several companies including Boston Scientific (BSX), Edwards Lifesciences (EW), and Intuitive Surgical (ISRG) [6][10]. Core Insights - The MedTech industry is experiencing strong operating fundamentals with organic sales growth averaging 6.7% in Q1 2025, an acceleration from 7.2% in Q4 2024 [3][22]. - Profitability has improved across the sector, although there are expectations of greater pressure on margins due to macroeconomic challenges and tariffs [3][25]. - The report highlights a widening gap in valuation and top-line growth among companies, with Boston Scientific's NTM P/E multiple expanding from 64% to 123% since December 2022 [5][6]. Summary by Sections Market Overview - The report discusses various events and management meetings that have shaped the outlook for the MedTech sector, including investor trips and conferences [3]. - It notes that the policy environment appears favorable for MedTech, with potential tariff relief and tax reform benefits [6]. Company Performance - Organic sales growth varied across companies, with those in high-growth categories like Robotics and Diabetes showing strength, while others faced challenges due to exposure to China and macroeconomic headwinds [3][18]. - Six companies have raised their full-year 2025 guidance, indicating a more balanced outlook for the second half of the year [22]. Financial Metrics - The report indicates that the average gross margin for large-cap MedTech companies was 60.2% in Q1 2025, reflecting a year-over-year increase [25]. - Operating margins expanded by 120 basis points year-over-year, supported by moderating inflation and favorable product mix [25][29]. Growth Projections - The report anticipates that organic growth will be driven by product cycles and innovation, with demographic factors and hospital financial conditions remaining healthy [18][40]. - Companies like Abbott and Boston Scientific are expected to sustain organic growth rates of at least 10% through 2027, despite some deceleration anticipated in the near term [9][10]. Tariff Implications - The report discusses the potential impacts of tariffs, particularly related to China, and suggests that tariff relief could provide upside to earnings forecasts [31][32]. - It highlights that the anticipated impacts from tariffs remain dynamic, with expectations of lower rates potentially benefiting companies like GE Healthcare [31][32].